Organization
EBI NIKJOO DENTAL CORP
Active
Other names
Ebi Nikjoo Dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
EBI D NIKJOO DDS (DENTIST)
(818) 348-8713
Entity
Organization
Contact information
Practice address
22114 ROSCOE BLVD, CANOGA PARK, CA 91304-3838
(818) 348-8713
Mailing address
22114 ROSCOE BLVD, CANOGA PARK, CA 91304-3838
(818) 348-8713
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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